26D2056367 CLIA NUMBER - WALGREENS #06166

Laboratory Demographics

  • CLIA Code: 26D2056367
  • Facility Name: WALGREENS #06166
  • Facility Address: 3822 S KINGSHIGHWAY BLVD
    SAINT LOUIS, MO
    ZIP 63109
  • Facility Phone: 314 773-1384
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KACI J. HAHN
  • NPI Number: 1023024411
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2056367
LAB Type Pharmacy
Facility Name WALGREENS #06166
Street 3822 S KINGSHIGHWAY BLVD
City SAINT LOUIS
State MO
ZIP 63109
Phone 314 773-1384
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/30/2025
Certificate Expiration Date 7/29/2027
Facility Type Pharmacy
Lab Director KACI J. HAHN

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This page was last updated on: 9/29/2025